湖南中医药大学学报2018，Vol.38Issue(5)：596-600,5.DOI:10.3969/j.issn.1674-070X.2018.05.028
规范化中医康复管理对颅脑损伤患者术后恢复质量的影响
Effect of Standardized TCM Rehabilitation Management on Postoperative Recovery Quality of Patients with Craniocerebral Injury
摘要
Abstract
Objective To explore the effect of standardized TCM rehabilitation management on postoperative recovery, and to analyze the influence of this intervention mode on the quality of recovery. Methods The 112 cases of craniocerebral injury treated in our hospital from June 2013 to June 2016 were randomly divided into observation group and control group, 56 cases in each group). The control group was adopted routine rehabilitation management, and the observation group was received with standardized rehabilitation management on the basis of the control group. The intervention time of the two groups was for 3 month. The changes of TCM syndromes were observed before intervention and at 3 months and 6 months after intervention. The limb movement function and nervous function defect were analyzed by Fugl-Meyer motor function scale (FMA) and NIH stroke scale (NHISS). The mortality of patients was recorded by follow-up (visit or telephone) for 12 months, once every 3 months. Results After intervention for 3 and 6 months, TCM syndrome scores were lower than the control group, the score after intervention for 6 months was lower than that intervention for 3 months (P<0.05). The syndrome scores in the observation group were lower than those in the control group at the same period (P<0.05). After intervention for 3 and 6 months, FMA was higher than before intervention, and the socre of intervention for 6 months was higher than the intrvention for 3 months (P<0.05). The scores of banlance and joit range of motion in observation group after intervention for 6 months were higher than those in the control group at same period (P<0.05). The NHISS score in the observation group and control group after intervention for 3 and 6 months was lower than before treatment, and the score of intervention for 6 months in the two groups was lower than intervention for 3 months (P<0.05). The NHISS of observation group after intervention for 6 months was lower than that of control group at same period (P<0.05). The mortality in the observation group and the control group was not statistically significant (P>0.05). Conclusion Standardized TCM rehabilitation management can provide targeted rehabilitation plan for patients with craniocerebral injury, promote the improvement of limb function, and reduce the degree of nerve function defect, so it is worthy of popularization and application.关键词
颅脑损伤/中医康复管理/运动功能/偏瘫Key words
craniocerebral injury/TCM rehabilitation management/motor function/hemiplegia分类
医药卫生引用本文复制引用
沈小娟,季丽萍,汤美秀..规范化中医康复管理对颅脑损伤患者术后恢复质量的影响[J].湖南中医药大学学报,2018,38(5):596-600,5.基金项目
江苏省如皋市科研课题(2014A05092). （2014A05092）
